Current State, Knowledge Gaps, and Management Strategies of Kidney Disease for the Psychiatrist

2022 ◽  
pp. 47-57
Author(s):  
Meera Joseph ◽  
Azim S. Gangji
2017 ◽  
Vol 7 (2) ◽  
pp. 122-129 ◽  
Author(s):  
Aminu K. Bello ◽  
Mona Alrukhaimi ◽  
Gloria E. Ashuntantang ◽  
Shakti Basnet ◽  
Ricardo C. Rotter ◽  
...  

2011 ◽  
Vol 11 (7) ◽  
pp. 19029-19087 ◽  
Author(s):  
A. Colette ◽  
C. Granier ◽  
Ø. Hodnebrog ◽  
H. Jakobs ◽  
A. Maurizi ◽  
...  

Abstract. We discuss the capability of current state-of-the-art chemistry and transport models to reproduce air quality trends and inter annual variability. Documenting these strengths and weaknesses on the basis of historical simulations is essential before the models are used to investigate future air quality projections. To achieve this, a coordinated modelling exercise was performed in the framework of the CityZEN European Project. It involved six regional and global chemistry-transport models (Bolchem, Chimere, Emep, Eurad, OsloCTM2 and Mozart) simulating air quality over the past decade in the Western European anthropogenic emissions hotspots. Comparisons between models and observations allow assessing the skills of the models to capture the trends in basic atmospheric constituents (NO2, O3, and PM10). We find that the trends of primary constituents are well reproduced (except in some countries – owing to their sensitivity to the emission inventory) although capturing the more moderate trends of secondary species such as O3 is more challenging. Apart from the long term trend, the modelled monthly variability is consistent with the observations but the year-to-year variability is generally underestimated. A comparison of simulations where anthropogenic emissions are kept constant is also investigated. We find that the magnitude of the emission-driven trend exceeds the natural variability for primary compounds. We can thus conclude that emission management strategies have had a significant impact over the past 10 yr, hence supporting further emission reductions strategies.


2010 ◽  
Vol 14 (3) ◽  
pp. 613-623 ◽  
Author(s):  
Dubravka Jelic ◽  
Dusan Gordic ◽  
Milun Babic ◽  
Davor Koncalovic ◽  
Vanja Sustersic

Until recent times, energy management practices primarily consisted in replacing inefficient equipment and then using any number of methods to estimate obtained savings. Experience shows that positive effects of energy efficient improvements were decreased over time. There have been significant efforts over the last decade to define appropriate standards and best practices and implement the consistent energy management system to increase and maintain the energy savings. The knowledge gained from thousands of energy efficient projects is driving a transition from traditional tactical practice (one-time "build and forget" projects) to energy management strategies proposed and endorsed by a number of international organizations. The current status of internationally developed energy management standards, including an analysis of their shared features and differences is presented in this paper. The purpose of the analysis is to describe the current state of ?best practices? for this emerging area of energy efficiency policymaking in order to study the possibility of implementation of energy management standards in Serbia and to estimate the effects and the potential for energy saving that would be made by its implementation.


2015 ◽  
Vol 47 (5) ◽  
pp. 805-813 ◽  
Author(s):  
Jacek Rysz ◽  
Anna Gluba-Brzózka ◽  
Maciej Banach ◽  
Andrzej Więcek

2021 ◽  
pp. ASN.2021060744
Author(s):  
Nisha Bansal ◽  
Leila Zelnick ◽  
Kristi Reynolds ◽  
Teresa Harrison ◽  
Ming-Sum Lee ◽  
...  

Background: Atrial fibrillation (AF) is highly prevalent in chronic kidney disease (CKD) and is associated with worse cardiovascular and kidney outcomes. Limited data exist on use of AF pharmacotherapies and AF-related procedures by CKD status. We examined a large "real-world" contemporary population of incident AF to study the association of CKD with management of AF. Methods: We identified patients with newly diagnosed AF between 2010-2017 from two large, integrated healthcare delivery systems. Estimated glomerular filtration rate (eGFR) (≥60, 45-59, 30-44, 15-29, <15 ml/min/1.73 m2) was calculated from a minimum of two ambulatory serum creatinine measures separated by ≥90 days. AF medications and procedures were identified from electronic health records. We performed multivariable Fine-Gray subdistribution hazards regression to test the association of CKD severity with receipt of targeted AF therapies. Results: Among 115,564 incident AF patients, 34% had baseline CKD. In multivariable models, compared to those with eGFR>60 ml/min/1.73 m2, patients with eGFR 30-44 (adjusted hazard ratio [aHR] 0.91, 95%CI:0.99-0.93), 15-29 (aHR 0.78, 95%CI:0.75-0.82) and <15 ml/min/1.73 m2 (HR 0.64, 95%CI:0.58-0.70) had lower use of any AF therapy. Patients with eGFR 15-29 ml/min/1.73 m2 had lower adjusted use of rate control agents (aHR 0.61, 95%CI:0.56-0.67), warfarin (aHR 0.89, 95%CI:0.84-0.94) and DOACs (aHR 0.23, 95% CI:0.19-0.27) compared to patients with eGFR>60 ml/min/1.73 m2. These associations were even stronger for eGFR <15 ml/min/1.73 m2. There was also a graded association between CKD severity and receipt of AF-related procedures (vs. eGFR>60 ml/min/1.73 m2): eGFR 30-44 ml/min/1.73 (aHR 0.78, 95%CI:0.70-0.87), eGFR 15-29 ml/min/1.73 m2 (aHR 0.73, 95%CI:0.61-0.88) and eGFR<15 ml/min/1.73 m2 (aHR 0.48, 95%CI:0.31-0.74). Conclusions: In adults with newly diagnosed AF, CKD severity was associated with lower receipt of rate control agents, anticoagulation and AF procedures. Additional data on efficacy and safety of AF therapies in CKD populations are needed to inform management strategies.


Author(s):  
Mercy Mlay Komba ◽  
Edda Tandi Lwoga

The aim of this chapter is to assess the current state of application of systematic reviews (SRs) in library and information science (LIS) field and determine how information scientists can advance the SRs as a methodology. The literature shows that there is an increasing number of SRs in LIS although there are still knowledge gaps about the use of SRs as a methodology. The quality of reporting in primary studies in LIS is still poor, and hence, it becomes difficult to appraise the value of the study undertaken. In order to advance the use of SRs in LIS domain, it is important to introduce SRs in LIS education curricular, integrate SRs as part of the continuing scientist development programmes (CPD), use automated SR software to minimize workload, introduce SRs a formal role and service in the libraries, collaborate with research teams as co-authors to conduct SRs not only in the topics defined by research teams, but also in LIS topics, and create SR databases and tools in LIS.


2019 ◽  
Vol 35 (8) ◽  
pp. 723-737 ◽  
Author(s):  
Shawn Kaku ◽  
Christopher D. Nguyen ◽  
Natalie N. Htet ◽  
Dominic Tutera ◽  
Juliana Barr ◽  
...  

The acute respiratory distress syndrome (ARDS) has multiple causes and is characterized by acute lung inflammation and increased pulmonary vascular permeability, leading to hypoxemic respiratory failure and bilateral pulmonary radiographic opacities. The acute respiratory distress syndrome is associated with substantial morbidity and mortality, and effective treatment strategies are limited. This review presents the current state of the literature regarding the etiology, pathogenesis, and management strategies for ARDS.


2019 ◽  
Vol 53 (11) ◽  
pp. 667-699 ◽  
Author(s):  
Claudia L Reardon ◽  
Brian Hainline ◽  
Cindy Miller Aron ◽  
David Baron ◽  
Antonia L Baum ◽  
...  

Mental health symptoms and disorders are common among elite athletes, may have sport related manifestations within this population and impair performance. Mental health cannot be separated from physical health, as evidenced by mental health symptoms and disorders increasing the risk of physical injury and delaying subsequent recovery. There are no evidence or consensus based guidelines for diagnosis and management of mental health symptoms and disorders in elite athletes. Diagnosis must differentiate character traits particular to elite athletes from psychosocial maladaptations.Management strategies should address all contributors to mental health symptoms and consider biopsychosocial factors relevant to athletes to maximise benefit and minimise harm. Management must involve both treatment of affected individual athletes and optimising environments in which all elite athletes train and compete. To advance a more standardised, evidence based approach to mental health symptoms and disorders in elite athletes, an International Olympic Committee Consensus Work Group critically evaluated the current state of science and provided recommendations.


Epidemics ◽  
2011 ◽  
Vol 3 (3-4) ◽  
pp. 171-182 ◽  
Author(s):  
Alexander G. Murray ◽  
Malcolm Hall ◽  
Lorna A. Munro ◽  
I. Stuart Wallace

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